| NPI | 1871943779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX T4164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101024469) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101022521) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-01-17 |